NPI: 1518631639 · THIBODAUX, LA 70301 · Physical Medicine & Rehabilitation Physician · NPI assigned 08/03/2021
Authorized official BOUDREAUX, KIM controls 20+ related entities in our dataset. Read more
| Authorized Official | BOUDREAUX, KIM (CONTRACT MANAGER) |
| NPI Enumeration Date | 08/03/2021 |
Other providers sharing the same authorized official: BOUDREAUX, KIM
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 45 | $4K |
| 2022 | 314 | $22K |
| 2023 | 592 | $14K |
| 2024 | 125 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95911 | 191 | 156 | $21K | |
| 95886 | 340 | 270 | $20K | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 74 | 71 | $6K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 29 | 25 | $1K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17 | 12 | $756.16 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14 | 12 | $373.77 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 16 | 12 | $4.85 |
| 3074F | 115 | 94 | $0.00 | |
| 3075F | 18 | 12 | $0.00 | |
| 3079F | 132 | 97 | $0.00 | |
| 3078F | 101 | 80 | $0.00 | |
| 3077F | 29 | 24 | $0.00 |